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Whenever an ambulance arrived with a critically ill patient, Dr R Mubaraks heart would sink. His small country hospital in Bagepalli, like most rural government hospitals in India, had no intensive-care unit. Famili
stanley cup es had to take the patient, who was perhaps on the brink of death, on a two-hour drive to the general hospital in Bengaluru. Often the patient came back in the same ambulance, dead. They never made it, says Mubarak. I knew I could be signing their death warrant by send
stanley thermos ing them but I had no choice. His hospital sits on flat farming land in eastern Karnataka, a dry belt, where farmers eke out a subsistence living growing peanuts and millet. It is, however, connected by a good highway to Bengaluru.View image in fullscreenA feverish and dehydrated Mahesh Babu lies in his mothers lap in Taluk hospitals new ICU unitOn a hot, muggy morning, Mubarak and a colleague, Dr GB Sudarshan, are beaming like fathers showing off a newborn as they provide a tour of a brand-new 10-bed intensive-care unit at Bagepalli hospital. Never in my dreams did I think we would get an ICU fitted with the latest equipment, says Mubarak.Today, the intensive-care unit has five cases of dengue fever; two feverish and dehydrated babies, one of whom, Mahesh Babu, lies listlessly in his mothers lap; a third baby with pneumonia; and Ansh Hegde, an elderly man suffer
stanley cup ing from seizures, which makes his food go down his windpipe.Any one of these cases might have proved fatal without the patients quick adm Tupf A 拢300 monsoon-busting home: the Bangladeshi architect fighting extreme weather
Ever since Ernest Saunders was misdiagnosed as having Alzheimers disease in 1991 and released early from a prison sentence, dementia among defendants has had a bad name.Commentators expressed cynicism when told by prosecutors last April that Greville Janner was too ill to stand trial. That cynicism persisted after the medical evidence of his dementia was accepted by a judge last month. And people who should have known better seemed to think that even Janners death a few days later was not enough to bring criminal proceedings against him to an end.Now there are calls for the courts to impose heavier penalties on people with dementia who cause traffic accidents after being told not to drive. This is more than a little illogical, since those who are too ill to drive will probably be too ill to stand trial at a hearing some months later. They will certainly be too ill to serve a substantial prison sentence.The Lord Janner case is dogged by the CPSs confusion | Joshua RozenbergRead moreThis enthusiasm for punishing those who are no longer in control of their actions is deeply unattractive. Of course, it can be difficult to distinguish between the mad and the bad. Mentally ill people so
stanley cup metimes need to be detained in secure hospitals, for both their safety and ours. But what justification ca
stanley isolierkanne n there be for imposing a punishment on those who cannot understand its purpose Its hardly going to deter someone from repeating conduct that they simply cannot remember.E
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